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New Customer Request Form

To receive funds via wire transfer or ACH, please provide the following information to the sender of the funds:

Bank Name:
Fifth Third Bank
38 Fountain Square Plaza
Cincinnati, OH 45263

Wire ABA Number: 063109935

ACH ABA Number: 042000314

SWIFT Number: FTBCUS3C (International wire only)

Beneficiary Name: Q-Matics, LLC

Address:
7651 Southland Blvd
Orlando, FL 32809

Account Number: 7909042348

Reference: It is VERY IMPORTANT that the sender of the funds should include information to identify what the funds are for, such as invoice number or customer’s name.

Leave this empty:

Your legal name

Your email address

Please Confirm full name and signature.

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Signed by Peter Giansante
Signed On: February 2, 2022

Timestamp

Audit

January 14, 2022 11:09 am EDT

New Customer Request Form Uploaded by Peter Giansante - [email protected] IP 68.204.0.144, 68.204.0.144

February 2, 2022 4:33 pm EDT

Richard Schultz - [email protected] added by Peter Giansante - [email protected] as a CC'd Recipient Ip: 68.204.0.144, 68.204.0.144

February 2, 2022 4:33 pm EDT

Danielle Kent - [email protected] added by Peter Giansante - [email protected] as a CC'd Recipient Ip: 68.204.0.144, 68.204.0.144

February 2, 2022 4:33 pm EDT

Kelvin Coolidge - [email protected] added by Peter Giansante - [email protected] as a CC'd Recipient Ip: 68.204.0.144, 68.204.0.144